Graham, Tina S

Graham, Tina S is an individual health care provider with primary practice located at 427 Us 31W Byp , Bowling Green KY 42101-1703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graham, Tina S can be contacted via phone (270) 796-8800.

Contact Information

Primary practice address
427 Us 31W Byp Bowling Green KY 42101-1703
Phone: (270) 796-8800
Fax: (270) 796-9328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3863P Kentucky

Profile Details

NPI number 1548374879
LBN Legal business name Graham, Tina S
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Apr 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548374879 NPPES
Other 000000278632 ANTHEM
MEDICAID 78009776 ANTHEM

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